Mobile*

Student Name*

Father Name*

Date Of Birth Ex Ddmmyyyy*

Email Id*

Roll No Or Registration No*

Course*

Department*

Semester No*

Hostel Name*

Mess Fee Oldrs25000 Newrs25500*

Caution Money_For New Rs 10000

Late Fee Fine_If Any

No Dues_If Any

Remarks_If Any

Minimum Mess Service Charge